CMS Telemedicine Code Updates : COVID-19

In response to the national emergency that was declared concerning the COVID-19 outbreak, CMS has temporarily waived certain requirements related to telemedicine services.  The Coronavirus Preparedness and Response Supplemental Appropriations Act of 2020 now enables both patients and providers to conduct telehealth visits from home or offices. CMS has also loosened regulations and will temporarily cover other types of telemedicine described below.

AnnexMed has been monitoring the recently updated coding rules and guidelines implemented by CMS and has prepared a summary of the guidelines (as they currently stand) below.  Please note – the guidelines have been changing rapidly – even day to day.

An Oversimplified Telemedicine Summary

The following chart was updated as of 4/08/20, 10:00 a.m

What is the service Communication Method Type of Professional HCPCS OR CPT Code 5-10 Min 11-20 Min 21-30 Min Medicare Status
Telehealth visit Remote face-to-face Physician or QHP 99201-99215, Or Any on CMS List Payable by Medicare
Virtual Check-in Telephone Physician or QHP G2012 G2012 NA NA Payable by Medicare
Telphone E/M Telephone Physician or QHP 99441-99443 99441 99442 99443 Newly Payable by Medicare
Telphone E/M Telephone Non Phys QHP 99866-98968 98966 98967 98968 Newly Payable by Medicare
Digital E/M Email,Patient Portal Physician or QHP 99421-99423 99421 99422 99423 Payable by Medicare
Online Assessment Email,Patient Portal QHP who can not E/M G2061-G2063 G2061 G2062 G2063 Payable by Medicare

Note: All services above subject to specific documentation requirements


AnnexMed can provide assistance with education and compliance to ensure that telehealth codes are being applied properly. If you have any questions, please contact at info@annexmed.com .

  • Posted by admin
  • On April 15, 2020
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